Unit 3- Legal History
2- Regulatory Compliance
1. What are the eight key healthcare regulatory bodies in the United State governing nearly all jurisdictions across the country and what does each do? Note Cards work great to help remember these.
2. This program was created to address the concerns of military personnel and their dependents?
3. Its goal was to remove people from mental health institutions and create a strong network of centers to address mental health concerns without institutionalization?
4. Discuss the National Mental Health Act, when it was created, and what it did.
5. The Pure Food and Drug Act of 1906 did what?
6. What was the first US government healthcare program for the public? And what did it do?
7. Know the Social Security Act and the amendments.
8. What provisions were accomplished by the Health Maintenance Organization (HMO) Act of 1973?
9. What act helped employees keep employer-based health insurance for a period of 18-36 months after losing employment?
10. What is HIPAA?
11. Know what the security and privacy rule of HIPAA is.
12. What did the Balanced Budget Act of 1997 establish?
13. Discuss the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Medicare Part D).
14. What are some of the key aspects of the Health Information Technology and Economic and Clinical Health Act (HITECH)?
15. What did the Patient Protection and Affordable Care Act of 2010 (ACA, “Obamacare” accomplish?
16. What is the Starke Law?
See: https://www.goodrx.com/hcp/providers/stark-law-basics
17. What are the ten essential benefits of the ACA?
18. What is duty to warn?
19. What is duty to report?
20. Know the following key judicial decisions
a. Olmstead v. L.C.
b. Rogers v. Okin
c. Welsch v. Likins
21. Who is Dorthea Dix?
22. What is the IRB and what does it do?
23. Discuss 3 questionable studies.
Unit 3- Legal History
Module 3- Ethical and Legal End of Life Concepts
1. What are advanced directives and do-not-resuscitate orders?
2. Know the timeline of Chronology of Assisted Dying in the US.
3. What placed requirements on medical providers and healthcare organizations to provide patients with the opportunity to complete advance directives?
4. What are the principles of self-determination?
5. Identify the four advance directive cases as notable cases that spearheaded the movement on effective execution of patient wishes
Unit 3- Legal History
Module 4- Ethical and Legal Behavioral Concepts
1. Who were the two key individuals, noted in module 4, who helped the broader public understand the issues facing those who may struggle with mental health?
2. What are some examples of behavioral health conditions?
3. What is the Community Mental Health Act?
Unit 5: Finance and Information Security History
Module 5: Data and Information Governance
1. Know the micro, mezzo, and macro levels of HIPAA Security.
2. Identify key historical events, legal cases, and practical situations that led to the establishment of HIPAA laws.
3. Watch the video “HIPAA Training” on page 47 in your course.
4. What is HIPAA Title 1?
5. What is HIPAA Title 2 and what are the rules?
6. HIPAA has established administrative rules that serve as guidelines for what all covered entities must do to comply with the law, what are they?
Unit 5: Finance and Information Security History
Module 6: Medicare and Medicaid Reimbursement
1. Know the 4 forms of Medicare benefits.
2. List the four programs that were passed as part of the Medicare Catastrophic Coverage Act of 1988
3. What is the Omnibus Reconciliation Act?
4. What year was services for the terminally ill (hospice services) added. This service shifts the goal of patient care from curative to palliative, meaning the focus is on patient comfort.
5. What is The Patient Protection and Affordable Care Act (ACA)?
6. What is Medicaid?
7. What is the difference between Medicare and Medicaid?
8. Know the historical events regarding the inception of Medicaid.
9. What is medical coding? Also, know the history of medical coding.
Unit 5: Finance and Information Security History
Module 7: Third-Party Insurance Reimbursement
1. What is third-party insurance?
2. What are the layers of the three-layer insurance system designed to protect the insured?
3. Who regulates third-party healthcare and insurance?
4. What does the Department of Health and Human Services regulate?
5. What does the he Department of Justice do?
6. What does the Office of the Attorney General establish?
7. Third-party audits are regulated by the 2005 Deficit Reduction Act, which is focused on what?
Unit 6: Historic Models of Case Management
Module 8: Case Management Models
1. Identify the core principles of case management services in substance-abuse.
2. List 5 historic models of case management.
4. Discuss the reason / need for a dynamic and ever-evolving model.
5. Describe 4 Care Delivery Models.
